Immersion and Advocacy Practicum Application First Name Last Name Phone Number* Email Street City State Zip Code Sex Female Male Nationality Age Level of Education GED High School Diploma Associates Degree Bachelor's Degree Masters Degree Doctorate Degree Work Occupation Church Name Church Denomination Ministry Title/Church Responsibilities In what area would you like to participate in the practicum? Biblical and Racial Justice Criminal Justice Economic Justice Educational Justice Immigration Justice Pro-life Justice What do you think is your God given natural talent or skill set you feel could make a difference in the area you selected? Communication Empowerment Leadership Community Collaboration Research Advocacy Have you had any experience in advocacy work? Yes No If yes, explain Do you currently volunteer or are part of a non-profit organization? If yes, please list them below. Send
